Erythroderma (exfoliative dermatitis). Part 2: energy homeostasis and dietetic management strategies

Erythroderma (exfoliative dermatitis) associates with important metabolic changes that include an enhancement in energy expenditure. The key components to total expenditure (TEE) basal rate (~68% of TEE), physical activity (~22% TEE) and thermic effect food (~10% TEE). In the erythrodermic state, there are likely multiple contributors increase such as 'caloric drain' resulting from increased evaporation water enhanced transepidermal loss, cardiovascular system (including high-output cardiac failure), non-shivering thermogenesis hormonal (such hypercortisolaemia). A change patient's level appetite a result ill health status may further impact on their consumption. part two this concise review, we explore constituents homeostasis, potential mechanisms impacting homeostasis erythroderma suggest much needed dietetic management strategies for condition.